Outreach Care Specialist
Elevance Health
**Outreach Care Specialist**
**Location** : This is a community/field based position in **Connecticut** . Seeking candidates in the **Meriden,** **Waterbury, Torrington and Danbury, CT** area **.**
The **Outreach Care Specialist** is responsible for ensuring that appropriate member treatment plans are followed on less complex cases and for proactively identifying ways to improve the health of our members and meet quality goals.
**How you will make an impact:**
+ Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs.
+ Assesses member compliance with medical treatment plans via telephone or through on-site visits.
+ Identifies barriers to plan compliance and coordinates resolutions.
+ Identifies opportunities that impact quality goals and recommends process improvements.
+ Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and provider.
+ Coordinates identification of and referral to local, state or federally funded programs.
+ Coaches members on ways to reduce health risks.
+ Prepares reports to document case and compliance updates.
+ Establishes and maintains relationships with agencies identified in appropriate contract.
**Minimum Requirements:**
+ Requires a high school diploma and a minimum of 1 year related experience; or any combination of education and experience which would provide an equivalent background.
**Preferred Skills, Capabilities and Experiences :**
+ Bilingual candidates preferred - Spanish and/or Portuguese strongly preferred.
+ BS/BA degree in a related field preferred.
+ Experience with EHR (electronic health records) systems.
+ For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
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